NPI 1912545187
Ivan J Medina
Practice location
- Address
- Ciudad Jardin III 197 Calle Flamboyan, Toa Alta, PR 00953
- Phone
- (787) 506-8499
- Fax
- (787) 279-4652
Registered specialties
Homemaker
Primary
Registry record
- NPI
- 1912545187
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 Dec 2019
- Record last updated
- 18 Dec 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.